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子宫内膜癌是妇科常见恶性肿瘤之一,手术是其主要的治疗方式。尽管开腹手术是治疗子宫内膜癌的传统方式,但随着医学科技的不断发展以及人们对术后生活质量要求的提高,妇科肿瘤的外科治疗方式也随之发生了革命性的变化。从传统开腹手术、腹腔镜手术、单孔腔镜技术,到2005年美国FDA批准应用于妇科手术的达芬奇机器人手术系统,子宫内膜癌的手术治疗方式也有了更多的选择。与传统开腹手术相比,微创手术凭借其创伤小、恢复快等优点,在子宫内膜癌的应用越来越广泛,但临床应用时间较短,仍需大样本多中心的长期随访研究来证实其安全性和有效性。本文主要围绕以上几种手术方式治疗子宫内膜癌的最新观点及研究进展进行综述。
Endometrial cancer is one of the common gynecological malignancies, and surgery is the main treatment. Although laparotomy is the traditional way of treating endometrial cancer, with the continuous development of medical science and the improvement of people’s postoperative quality of life, the surgical treatment of gynecological tumors has also undergone revolutionary changes. From the traditional laparotomy, laparoscopic surgery, single-hole endoscopy technology to the 2005 FDA approval of gynecological surgery for Da Vinci robotic surgery system, surgical treatment of endometrial cancer have more choices. Compared with the traditional open surgery, minimally invasive surgery with its advantages of less trauma and faster recovery, more and more widely used in endometrial cancer, but the clinical application of time is short, still need a large sample multi-center long-term follow-up study To confirm its safety and effectiveness. This article focuses on the above several surgical methods of treatment of endometrial cancer, the latest ideas and research progress are reviewed.